Long-Term Clinical Outcomes of Surgery for Adolescent Idiopathic Scoliosis 21 to 41 Years Later

Akazawa, Tsutomu; Minami, Shohei; Kotani, Toshiaki; Nemoto, Tetsuharu; Koshi, Takana; Takahashi, Kazuhisa

doi:10.1097/brs.0b013e31823d2b06

Cited by 51 publications

(24 citation statements)

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“…"^' Carreon et aP° compared preoperative to 1 year postoperative SRS-22 values in a cohort of patients with AIS (mean age = 14 [10][11][12][13][14][15][16][17][18]) and determined significant MCID values to be 0.20,0.08, and 0.98 for the pain, activity, and self-image domains, respectively ( Table 2). Radiographical measures collected included T2-T12, T5-T12, and greatest Cobb kyphosis, major coronal Cobb angle, C7 sagittal vertical axis, lordosis, and thoracic and lumbar apex location and translations.…”

Section: Methodsmentioning

confidence: 99%

Effect of Spinal Deformity on Adolescent Quality of Life

Lonner

Yoo

Terran

et al. 2013

Spine

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Section: Methodsmentioning

confidence: 99%

Effect of Spinal Deformity on Adolescent Quality of Life

Lonner

Yoo

Terran

et al. 2013

Spine

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“…Any AIS patient, operated or not, has been shown to suffer from long-term functional disturbances and earlier onset back pain and disc degeneration than normal individuals [7, 8]. Understanding why this occurs helps us to better manage AIS patients and offer personalized treatment options to prevent these long-term disabilities.…”

Section: Introductionmentioning

confidence: 99%

The association of lumbar curve magnitude and spinal range of motion in adolescent idiopathic scoliosis: a cross-sectional study

Eyvazov

Samartzis

2017

BMC Musculoskelet Disord

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BackgroundSpinal deformities affect the overall alignment of the spine and thus the vectors of loading on the lumbar region and intervertebral discs. Due to wedging of the disc or vertebrae of unbalanced spinal segments, alignment change may affect the range of motion (ROM) of individual spinal segments or the global spine. This is particularly important in adolescent idiopathic scoliosis (AIS) patients who may suffer from early degeneration, back stiffness and pain. Hence, this study aimed to determine the correlation between spine range of motion (ROM) and adolescent idiopathic scoliosis (AIS) curve magnitude.MethodsConsecutive recruitment of all AIS patients with Lenke 5 (thoracolumbar/lumbar) curves within one month was performed with ROM assessments in the coronal, sagittal and axial planes using the change in C7-S1 distance on standing upright, active flexion and extension positions, change in finger-floor distance on forward bending position and lateral bending, lateral bending angles, modified Schober’s test, and trunk rotation in seating position. Patients were further stratified into two groups based on their lumbar spine curve magnitude: Group A with curves of 10 to 39 degrees and Group B with 40 degrees or greater. Univariate and multivariate analyses were conducted, with lumbar curve magnitude severity being the dependent variable.ResultsIn total, 58 patients (n = 12 males, n = 46 females; mean age: 15.7 years) were recruited. The mean curve magnitudes were 25 ± 6.5 degrees in Group A and 48 ± 10.6 degrees in Group B. Mean axial rotation (Group A: 90 ± 21.7 degree; Group B: 76 ± 19.6 degrees; p = 0.038) and lateral bending ROM (Group A: 67 ± 13.4 degrees; Group B: 58 ± 14.3 degrees; p = 0.045) decreased in more severe curves. These two parameters continued to remain significant irrespective of the curve severity cut-off values.ConclusionsThis is the first study to determine associations between spinal ROM parameters with the lumbar curve magnitude in AIS patients. We found that the coronal curve severity is associated with reduced axial and coronal ROM. This is a platform for future studies assessing lumbar spine biomechanics in AIS and to determine the effects of altered spine motion in this context and its implication in patient management and outcomes.

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“…1 -11 We have also reported satisfactory results in middle aged or older patients. 12 There have been a very small number of reports on long-term results of surgery for non-IS. 13 , 14 There have not been any reports that compare non-IS, IS, and healthy subjects.…”

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confidence: 99%

Health-Related Quality of Life and Low Back Pain of Patients Surgically Treated for Scoliosis After 21 Years or More of Follow-up

Akazawa

Minami

Kotani

et al. 2012

Spine

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Long-Term Clinical Outcomes of Surgery for Adolescent Idiopathic Scoliosis 21 to 41 Years Later

Abstract: Surgery had no demonstrable adverse effects on pain or mental health in these middle-aged AIS patients 21-41 years after surgery, although the AIS patients did have significantly lower function and lower self-image than the controls.

Cited by 51 publications

References 15 publications

Effect of Spinal Deformity on Adolescent Quality of Life

Effect of Spinal Deformity on Adolescent Quality of Life

The association of lumbar curve magnitude and spinal range of motion in adolescent idiopathic scoliosis: a cross-sectional study

Health-Related Quality of Life and Low Back Pain of Patients Surgically Treated for Scoliosis After 21 Years or More of Follow-up

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